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STATE QF CC~LQRADCJ <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Naturai Resources <br />1ri3 Sherman St., Room 21s <br />Denver, Colorado 80203 ^ <br />^ <br />~ ~~ ~ C O L O R A D O <br />~ <br />~ ~ <br />K Ai <br />Phone: (703) 866-3s67 CONSTRUCTION M17A'-T;RIAIS D{V151pN OF <br />RECLA.'4tAT10N <br />rAX: (303)832-8706 SUS Q ~ 2 a REGULAR (112)OPERATION MI &NG <br />RF.CLAn3ATLON PERMIT APPLICATION FORM SAFETY" <br />f Keclatnatittn, <br />pivision o <br />and Safety <br />i sst! nw~s <br />ng <br />Min <br /> <br />~ Governor <br />CHECK OtiE: <br />There is a File Number Already Assigned to this Operation <br /> R~~~u George <br />Permit # i14 - is -.oi35 _-, (Please mferencc the file number currently assigted to this operaf~t57f~` Y °Yefor <br /> <br />,New Application (Rule 1.4.5) ~ Amendment Application (Rule L 10) Ronald W. Czttany <br />omFSlon oiroctor <br />,ConversionApplication(Rule 1.11) Nahuaiarsourcerr°'t~ <br />Permit # M - 1ga0 - 085 -, (provide for Amendments and Conversions of existing pemti[s) <br />The application for a Constmction Materials Regular 1 l2 Operation Rodamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A-S, Addettdmn 1, any sections of Exhibit GS (Geoteehnical Stability Exhibit; and {3) the applicatton fee. When you <br />submit your application, be sure to include one Q) comoicte sieved and notarized ORIGINAL, and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, ands check for <br />[he application fee described under Section (4) blow. Exhibits should NOT be lwund or in a 3-ring binder; maps sbadd be folded to <br />8 S! 2" X 1 I" or $ l!2" X t4" sirx. 'fo expedite processing, please provide thethe information in the format and order described in this form <br />GENERAh OPERATION EdFORMATION <br />Type or print dearly, in the space provided, Al,l, intbnnation requested below. <br />L AuPiicant/ooerator or comnanv name tname to be used on cermiU: Elam Construction, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Colorado Corporation <br />2. Operation name (pit, mine or site name): Vagneur Site <br />3. Permitted acreaee (new or existina sitel: <br />3.1 Change in acreage (+) <br />32 Total acreage in Permit area <br />4. Fees: <br />A.3 New Application <br />4.2 New Quarry Application <br />A.4 Amendment Fee <br />4.5 Conversion to 112 nperatimr (set by statute) <br />5. Primary commoditie(s) to be mined: Sand Gravel <br />5.1 Incidental commoditie(s) to be mined: 1. _.__~^__„__. tbsffoaSiYC <br />3. _-_ ! lbsiTons;'vr A. ~_ r IbsrTons <br />5.2 Anticipated end use of primary commoditic{s) to be mined: _ <br />5.3 Anticipated end use of incidental commoditie(s) fn be mined: <br />Office of <br />Mined Land Reclamation <br />t0a.7 permitted acres <br />acres <br />104.7 acres <br />_ 2 3A4.00 application fee <br />$2.906.00 quarry application <br />X1938.00 amendment fee <br />$2,344.00 conversion fee <br />2. ' v, Ibstl'nr~t~x <br />5, t Sbs,"1'onstyr <br />nstruction materials <br />WA <br />Office of <br />Acti+'e and 1nac~tive Mines <br />